Individual
DR. GEORGE YONG-SUP LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14858 LAKE HILLS BLVD, BELLEVUE, WA 98007-5809
(425) 644-2808
(425) 644-2682
Mailing address
16416 SE 66TH ST, BELLEVUE, WA 98006-5433
(425) 802-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00047144
WA
208D00000X
General Practice Physician
MD27745
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD00047144
WASHINGTON MEDICAL LICENS
WA
01
—
MD27745
AL MEDICAL LICENSE
AL
Enumeration date
02/05/2007
Last updated
12/20/2012
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